Provider Demographics
NPI:1073936514
Name:HALSETH, JOSEPH DALE
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:DALE
Last Name:HALSETH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 22ND AVE NW
Mailing Address - Street 2:WARD COUNTY SOCIAL SERVICES
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-1071
Mailing Address - Country:US
Mailing Address - Phone:701-852-3552
Mailing Address - Fax:701-857-0791
Practice Address - Street 1:400 22ND AVE NW
Practice Address - Street 2:WARD COUNTY SOCIAL SERVICES
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58703-1071
Practice Address - Country:US
Practice Address - Phone:701-852-3552
Practice Address - Fax:701-857-0791
Is Sole Proprietor?:No
Enumeration Date:2014-02-03
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND3631104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker